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患者麦×,男、29岁、未婚、工人、广东南海人、住院号:017603 病史:自1985年10月始,左上腹部间歇性隐痛。86年1月经B型超声仪检查发现脾肿大,后因发热、黄疸、肝脾肿大而住院。当时ESR50mm、SGPT248u、考虑为“肝细胞坏死后肝硬化”。后在血涂片中发现淋巴细胞高达75%,有幼淋及晚幼红细胞。骨髓涂片有核细胞增生活跃,粒系增生偏低,淋巴细胞比例偏高,有边缘呈不规则的绒毛状突起的多毛细胞,该型细胞占有核细胞7.5%。耐酒石酸酸性磷酸酶染色(TRAP)阳性。外周血制片扫描电镜(SEM):
Patients with wheat ×, male, 29 years old, single, worker, Guangdong South China Sea, hospitalization number: 017603 history: since the beginning of October 1985, intermittent pain in the upper left abdomen. 86 years in January by B-type ultrasound examination found splenomegaly, after fever, jaundice, hepatosplenomegaly and hospitalization. At that time ESR50mm, SGPT248u, considered as “liver cirrhosis after necrosis.” After blood smear found in lymphocytes up to 75%, there are young and late infiltration of young red blood cells. Bone marrow smear nucleated cell hyperplasia, low proliferation of myeloid lineage, high proportion of lymphocytes, there are irregular edges of the villous hair cells, accounting for 7.5% of this type of cells. Tartrate-resistant acid phosphatase stain (TRAP) positive. Peripheral blood slice scanning electron microscopy (SEM):